Abstract

Literature is sparse on the fitting of corneal contact lensesto patients with keratoconus. There is a prevailing view that they are suitable for the early stages only, and subsequently become unstable and difficult and time consuming to fit (Stone and Phillips 1985). A simple approach is discussed suitable for a small clinic with a limited budget. Forty-one patients are reviewed with respect to final acuity, tolerance, corneal change and steepness of cone. Using only a small number of lenses it is possible to provide a satisfactory result at the first visit in a high percentage of cases. The patients have been followed up over a period of up to eight years.